VICENTE T. CUISON Immigration Lawyer* (Admitted: New York & US Court of Appeals [9th Circuit]) 1666 Grey Bunny Drive Roseville, California 95747 Tel. No. (916) 4741549 Email: vtcuison@yahoo.com FAMILY BASED GREEN CARD QUESTIONNAIRE I. Information about the U.S. Citizen Petitioner 1. Full Name 2. Other Names Used, If Any 3. Birth Name 4. Address Last address where both you and your spouse lived together 5. Telephone Number 6. Date and Place (City & State) of Birth 7. Social Security Number 8. Naturalization Certificate #, Date & Place of Issuance 9. Have you previously submitted any other petitions for alien relatives? 10. If yes to #8, please explain 11. Date and Place (City, State, Country) of Marriage 12. (a) Names of Prior Spouses, (b) Spouses Dates of Birth, (c) Dates and places of previous marriages (month, day, year), and (d) dates (month, day, year) and places marriages ended: 13. Has the relative for whom you are petitioning ever been in immigration proceedings (court)? 14. Please explain 15. Do you have any children from the present marriage-give names and DOB
16. Do you have any children from previous marriages or any children anywhere in the world? If yes, give names and DOBs 17. Present Employer & Address Family Based Green Card Questionnaire 18. Are you self-employed? 19. Have you filed a tax return in the last three years, if yes, please provide 18. Annual Salary for last 3 years 19. Mother s First and Last Birth Name Mother s Date and City/Country of Birth Mother s Current City & Country of Residence 20. Father s First and Last Birth Name Father s Date and City/Country of Birth Fathers Current City & Country of Residence 21. Please list all residences (address, city, state, zip) for the last five years, dates from and to, including month and year: 22. Please list all employment for the last five years, name/addresses, occupation, month/year from and to: Family-Based Green Card Questionnaire II. Information about the Alien Relative-Spouse 1. Spouse s Name 2. Other Name Used, If Any 3. Birth Name 4. Current Address & Home Phone Number
5. Country of Citizenship 6. Date, City, and Country of Birth 7. A Number I-94 Number 8. Social Security Number or TIN 9. Date of Last Entry into the U.S. 10. Place of Last Entry Manner (Visa) 11. Current Status and Expiration Date 12. U.S. Consulate that Issued Visa Date of Issue: 13. Number of Nonimmigrant Visa 14. Have you ever been in immigration proceedings? 15. Please explain 16. (a) Names of Prior Spouses, (b) Spouses Dates of Birth, (c) Dates and places of previous marriages (month, day, year), and (d) dates (month, day, year) and places marriages ended: 17. Address where you intend to live in the U.S. 18. Address abroad 19. If native alphabet is other than Roman letters, give address in native alphabet 20. Do you have any children from previous marriages or any children anywhere in the world? 21. Have you been in the U.S. more than 183 days in any one of the last three calendar years? 22. Please explain 23. Have you received income from a U.S. Source in the last three years? 24. Please explain 25. Annual salary for last 3 years 26. Have you filed a tax return in the last three years, if yes, please provide 27. Mother s first and last birth name Mother s Date and City/Country of Birth Mother s Current City & Country of Residence
28. Father s first and last birth name Father s Date and City/Country of Birth Father s Current City & Country of Residence 29. Please list all residences for the last five years, dates from and to in month/year 30. Please list all employment for the last five years, names/addresses, Title/Occupation, dates from/to in month/year 31. List your present or past memberships in or affiliations with every political organization, fund, association, foundation, club, society or similar group in the U.S. or in any other place since your 16 th birthday. Include any foreign military service in this part. Include names, locations, nature of org. and dates of membership Processing Information-Completed by Alien Relative Resident Questionnaire 1. Have you ever, in or outside the U.S.: a. Knowingly committed any crime of moral turpitude (including but not limited to theft, fraud, forgery) or a drug-related offense for which you have not been arrested? You must include even violations of minor municipal ordinances (but NOT traffic violations). b. been arrested, cited, charged, indicted, fined or imprisoned for breaking or violating any law or ordinance, excluding traffic violations? c. been the beneficiary of a pardon, amnesty, rehabilitation decree, other act of clemency or similar action? d. exercised diplomatic immunity to avoid prosecution for a criminal offense in the U.S.? 2. Have you received public assistance in the U.S. from any source, including the U.S. government or any state, county, city or municipality (other than emergency medical treatment), or are you likely to receive public assistance in the future?
3. Have you ever: a. within the past ten years been a prostitute or procured anyone for prostitution, or intend to engage in such activities in the future? b. engaged in any unlawful commercialized vice, including, but not limited to, illegal gambling? c. knowingly encouraged, induced, assisted, abetted or aided any alien to try to enter the U.S. illegally? d. illicitly trafficked in any controlled substance, or knowingly assisted, abetted, or colluded in the illicit trafficking of any controlled substance? 4. Have you ever engaged in, conspired to engage in, or do you intend to engage in, or have you ever solicited membership or funds for, or have you through any means ever assisted or provided any type of material support to, any person or organization that has ever engaged or conspired to engage, in sabotage, kidnapping, political assassination, hijacking or any other form of terrorist activity? 5. Do you intend to engage in the U.S. in: a. espionage? b. any activity a purpose of which is opposition to, or the control or overthrow of, the government of the United States, by force, violence or other unlawful means? c. any activity to violate or evade any law prohibiting the export from the United States of goods, technology or sensitive information? 6. Have you ever been a member of, or in any way affiliated with, the Communist Party, or any other totalitarian party? 7. Did you, during the period from March 23, 1933 to May 8, 1945, in association with either the Nazi Government of Germany or any organization or government associated or allied with the Nazi Government of Germany, ever order, incite, assist or otherwise participate in the persecution of any person because of race, religion, national origin or political opinion? 8. Have you ever engaged in genocide, or otherwise ordered, incited, assisted or otherwise participated in the killing of any person because of race, religion, nationality, ethnic origin or political opinion? 9. Have you ever been deported from the U.S., or removed from the U.S. at government expense, excluded within the past year, or are you now in exclusion or deportation proceedings? 10. Are you under a final order of civil penalty for violating 274C of the Immigration and Nationality Act for use of fraudulent documents or have you, by fraud or willful misrepresentation of a material fact, ever sought to procure, or procured, a visa, other documentation, entry into the U.S. or any immigration benefit? 11. Have you ever left the U.S. to avoid being drafted into the U.S. Armed Forces? 12. Have you ever been a J nonimmigrant exchange visitor who was subject to the two-year foreign residence requirement and not yet complied with that requirement or obtained a waiver?
13. Are you now withholding custody of an U.S. citizen outside the U.S. from person granted custody of the child? 14. Do you plan to practice polygamy in the U.S.? Other Filings (Not applicable for K-1 Fiancé petitions) 1. Do you wish to file an I-765 for Employment Authorization in conjunction with your I-485 petition? 2. Do you wish to file an I-131 Application for Travel Document in conjunction with this petition? If yes, please list all of your projected travel plans for the next year? PLEASE PROVIDE THE FOLLOWING DOCUMENTS 1. Certificate of Naturalization or Passports of U.S. Citizen Petitioner; 2. Copy of the Passport, with the biographic page (the one w/ picture) and the page w/ US B1/B2 Visa, of the Alien Spouse 3. Birth Certifications of Citizen Petitioner and the Alien Spouse 4. Marriage Certificate between the U.S. Citizen Petitioner and the Alien Spouse 5. Proof of Employment of the U.S. Citizen Petitioner that meets Poverty Criteria Guidelines (Letter from Employer stating current salary and/or recent payroll stubs. REMEMBER, YOU WILL NEED TO BRING A LETTER OF CURRENT EMPLOYMENT TO THE ACTUAL INTERVIEW) 6. Divorce Decrees from Previous Marriages of the U.S. Citizen Petitioner and the Alien Spouse, Certified court copy 7. Tax Returns of U.S. Citizen Petitioner from Last Three Years 8. Two (2) passport style photographs of the U.S. Citizen, and Four (4) passport style photographs of the Alien Spouse, per CIS guidelines (see attorney for example sheet) 9. Copy of Alien s Social Security Card, if applicable 10. Copies of Driver s License of U.S. Citizen Petitioner and Spouse 11. Joint Documents may include the following: 1.] Joint Bank Account Statement 2.] Utility bills, like water, electricity & telephone bills 3.] Life Insurance Policy showing one of the spouses is the insured and the other spouse is the beneficiary 4.] Medical Insurance showing that one of the spouses is the employee or the policy holder and the other spouse is his/her dependent 5.] Car insurance and Car registration 6.] Wedding invitations, at least four (4), including those sent to the principal sponsors and close relatives 7.] Wedding pictures (colored Xerox/photocopies will do) 8.] Any documents showing joint ownership of a property U.S. Citizen Petitioner
I certify that the information I have provided herein is true and accurate. I have carefully read this questionnaire, and I certify the information is true and complete. Date Signature Alien Relative I certify that the information I have provided herein is true and accurate. I have carefully read this questionnaire, and I certify the information is true and complete. Date Signature